巴西的暴力和伤害:影响,取得的进展和未来的挑战
Michael Eduardo Reichenheim1, Edinilsa Ramos de Souza, Claudia Leite Moraes
1Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, RJ, Brazil. michael@ims.uerj.br
Lancet (London, England)
|May 13, 2011
概括
暴力,包括杀人和交通伤害,仍然是巴西的主要公共卫生问题,不成比例地影响年轻的,贫困的男性. 应对这些挑战需要评估和整合成功的立法和行动计划进展.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会学 社会学 社会学
背景情况:
- 杀人和与交通有关的伤害占巴西外部原因死亡人数的近三分之二.
- 家庭暴力对发病率做出了重大贡献,尽管死亡人数较少.
- 暴力带来了巨大的个人和集体成本,有着不同的受害者人口统计数据.
研究的目的:
- 分析巴西与暴力有关的死亡率和发病率的范围和决定因素.
- 确定社区和家庭暴力中关键的受害者和事者的个人资料.
- 评估巴西的立法和行动计划对暴力和伤害预防的反应.
主要方法:
- 分析与外部原因相关的死亡率和发病率数据.
- 调查暴力的人口,社会经济和区域差异.
- 审查导致暴力的因素,包括物质滥用,枪支可用性和运输系统.
主要成果:
- 2007年,谋杀和交通死亡率分别为每10万人口中的26.8和23.5.
- 年轻人,黑人和贫困男性是社区暴力的主要受害者/事者;贫困的黑人妇女和儿童是家庭暴力的主要受害者.
- 社会文化因素,酒精/毒品滥用,枪支可用性和交通基础设施不足与暴力有关.
结论:
- 巴西在立法和行动计划方面取得了进展,以打击暴力和伤害.
- 评估和整合成功的干预措施对于持续进步至关重要.
- 需要一个全面的方法来解决社会文化决定因素和系统性问题.
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